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Urinary Diversion Catheter

Date: May 19, 2014

Question:

We have a patient who presented with a nephroureteral stent in place. Patient also has an ileal conduit. They removed the nephroureteral stent/nephrostomy that was in place and inserted a "urinary diversion catheter". The wire originated in the nephrostomy site and exited the conduit. The diversion catheter was inserted via the ileal conduit over the guidewire to the upper pole calyx and extended into the ileal bag. Would this be reported with code 50688 (change of ureterostomy tube via the ileal conduit) and 50389 (removal of nephrostomy tube)?

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